【摘要】 目的分析、探讨腹腔镜子宫肌瘤切除术的手术方法、适应证、手术技巧及临床应用价值。方法选择2010年1月-2012年10月行腹腔镜子宫肌瘤切除术的46例患者,对其进行总结分析。其中浆膜下肌瘤1例,阔韧带肌瘤1例,肌壁间肌瘤44例(多发性肌瘤13例,前壁单发肌瘤18例,后壁单发肌瘤13例)。结果 46例手术均获成功,无一例中转开腹。术中出血量平均(48±27)ml,手术时间平均(92±29)min,术后肠功能恢复时间(18.50±8.10)h,术后住院时间3～7d。结论腹腔镜下子宫肌瘤剥除术是理想的子宫肌瘤微创治疗方式,具有微创、术中出血少、术后恢复快,住院时间短、术后并发症少等优点。因此正确把握好手术适应证,腹腔镜子宫肌瘤切除术安全、有效,值得推广使用。更多还原

【Abstract】 Objective To explore the operative procedure,indication,technique and clinical efficacy of hysteromyoma ectomy under laparoscope.Methods From Jan 2010 to Oct 2012,46 patients with hysteromyoma were treated with hysteromyoma ectomy under laparoscope,with 1 case of subserous myoma,1 case of broad ligament myoma and 44 cases of intramural myoma(multiple in 13 cases,single anterior in 18 cases and single posterior wall in 13 cases).Results The successful operations were achieved in all 46 cases with no conversion to open surgery,the mean bleed volume was (48±27) ml,mean operation time was (92±29) min and mean hospitalization duration was 3-7 d.Conclusion Hysteromyoma ectomy under laparoscope was a good method with safety,less bleeding,short hospitalization duration,rapid recovery and less complication.The indication of the operation should be grasped.更多还原